A Case of Electrical Burns Injury with A History of Heart Disease: A Case Report

  • Lutfi Rahman Faculty of Nursing, Universitas Padjadjaran
  • Erin Yuliandani Faculty of Nursing, Universitas Padjadjaran
  • Rurin Masruroh Faculty of Nursing, Universitas Padjadjaran
  • Ristina Mirwanti Faculty of Nursing, Universitas Padjadjaran
  • Ayu Prawesti Priambodo Faculty of Nursing, Universitas Padjadjaran
Keywords: burns, electrical, patients

Abstract

Burns are serious injuries that can have significant physical and psychological impacts on individuals. Burns due to electric shock are relatively rare but carry a high risk of serious complications, including respiratory problems and fluid loss that can be life-threatening. Purpose: The purpose of this study is to present the case study of burn electrical burns injury with a history of heart disease. Methods: This study used a case report approach on one patient. Data were collected by conducting interviews and assessments to one patient with electrical burn injury with a history of heart disease. Data analysis was carried out by comparing the results of the assessment with the theory of electrical burn injury. Results: The results of this study indicate that Mr. P, aged 35 years, showed burns covering 65% of the total body surface, with grade III severity. The patient also experienced respiratory problems with SpO2 85%. In addition, other nursing diagnoses were found such as impaired airway clearance due to edema in the larynx, hypovolemia due to active fluid loss, and acute pain due to physical injurious agents. This is the importance of proper and rapid assessment to reduce the risk of more serious complications. Conclusions: Holistic therapy and a multidisciplinary approach are key in providing optimal care and minimizing the risk of complications in patients with complex conditions such as this.

References

Angus, D. C., Derde, L., Al-Beidh, F., Annane, D., Arabi, Y., Beane, A., van Bentum-Puijk, W., Berry, L., Bhimani, Z., Bonten, M., Bradbury, C., Brunkhorst, F., Buxton, M., Buzgau, A., Cheng, A. C., de Jong, M., Detry, M., Estcourt, L., Fitzgerald, M., … Summers, C. (2020). Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19: The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial. JAMA, 324(13), 1317–1329. https://doi.org/10.1001/jama.2020.17022

Annane, D., Siami, S., & Jaber, S. (2013). Effects of fluid resuscitation with colloids vs crystalloids on mortality in critically ill patients presenting with hypovolemic shock: the CRISTAL randomized trial. JAMA, 310. https://doi.org/10.1001/jama.2013.280502

Bagheri, M., Fuchs, P. C., Lefering, R., Grigutsch, D., Busche, M. N., Niederstätter, I., the German Burn Registry, & Schiefer, J. L. (2021). Effect of comorbidities on clinical outcome of patients with burn injury — An analysis of the German Burn Registry. Burns, 47(5), 1053–1058. https://doi.org/10.1016/j.burns.2020.04.040

Bayuo, J., Bristowe, K., Harding, R., Agbeko, A. E., Wong, F. K. Y., Agyei, F. B., Allotey, G., Baffour, P. K., Agbenorku, P., Hoyte-Williams, P. E., & Agambire, R. (2020). “Hanging in a balance”: A qualitative study exploring clinicians’ experiences of providing care at the end of life in the burn unit. Palliative Medicine, 35(2), 417–425. https://doi.org/10.1177/0269216320972289

Cleary, M. i. c. h. e. l. l. e., Visentin, D. e. n. i. s. C., West, S. a. n. c. i. a., Andrews, S. h. a. r. o. n., McLean, L. o. y. o. l. a., & Kornhaber, R. a. c. h. e. l. (2018). Bringing research to the bedside: Knowledge translation in the mental health care of burns patients. International Journal of Mental Health Nursing, 27. https://doi.org/10.1111/inm.12491

Dash, S., Arumugam, P. K., Muthukumar, V., Kumath, M., & Sharma, S. (2021). Study of clinical pattern of limb loss in electrical burn injuries. Injury, 52(7), 1925–1933. https://doi.org/https://doi.org/10.1016/j.injury.2021.04.028

Gandhi, G., Parashar, A., & Sharma, R. K. (2022). Epidemiology of electrical burns and its impact on quality of life - the developing world scenario. World J Crit Care Med, 11. https://doi.org/10.5492/wjccm.v11.i1.58

Gille, J., Schmidt, T., Dragu, A., Emich, D., Hilbert-Carius, P., Kremer, T., Raff, T., Reichelt, B., Siafliakis, A., Siemers, F., Steen, M., & Struck, M. F. (2018). Electrical injury – a dual center analysis of patient characteristics, therapeutic specifics and outcome predictors. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 26(1), 43. https://doi.org/10.1186/s13049-018-0513-2

Grove, S. K., Burns, N., & Gray, J. (2013). The practice of nursing research: appraisal, synthesis, and generation of evidence.

Harvey, L. A., Connolley, S., & Harvey, J. G. (2015). Clothing-related burns in New South Wales, Australia: impact of legislation on a continuing problem. Burns, 41. https://doi.org/10.1016/j.burns.2014.10.013

Kemenkes RI. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI, 53(9), 1689–1699.

Kilburn, N., & Dheansa, B. (2014). Socioeconomic impact of children’s burns - A pilot study. Burns, 40(8), 1615–1623. https://doi.org/10.1016/j.burns.2014.03.006

Martins, J. T., Bobroff, M. C. C., Ribeiro, R. P., Soares, M. H., Robazzi, M. L. C. C., & Marziale, M. H. P. (2014). Feelings experienced by the nursing team at a burns treatment center. Escola Anna Nery, 18. https://doi.org/10.5935/1414-8145.20140074

Mehrabi, A., Falakdami, A., Mollaei, A., Takasi, P., Ghorbani Vajargah, P., Jafari, H., Mazloum, S. M. H., Rahimzadeh, N., Ghazanfari, M. J., Emami Zeydi, A., Mobayen, M., & Karkhah, S. (2022). A systematic review of self-esteem and related factors among burns patients. Annals of Medicine and Surgery, 84, 104811. https://doi.org/https://doi.org/10.1016/j.amsu.2022.104811

Rahayuningsih, T. (2012). Penatalaksanaan Luka Bakar (Combustio). Profesi, 08(September), 1–13.

Rosenberg, M., Mehta, N., Rosenberg, L., Ramirez, M., Meyer, W. J., & Herndon, D. N. (2015). Immediate and long-term psychological problems for survivors of severe pediatric electrical injury. Burns., 41. https://doi.org/10.1016/j.burns.2015.06.006

Salehi, S. H., Fatemi, M. J., Aśadi, K., Shoar, S., Ghazarian, A. D., & Samimi, R. (2014). Electrical injury in construction workers: a special focus on injury with electrical power. Burns., 40. https://doi.org/10.1016/j.burns.2013.05.019

Shih, J. G., Shahrokhi, S., & Jeschke, M. G. (2017a). Review of adult electrical burn injury outcomes worldwide: an analysis of low-voltage vs high-voltage electrical injury. J Burn Care Res, 38. https://doi.org/10.1097/BCR.0000000000000373

Shih, J. G., Shahrokhi, S., & Jeschke, M. G. (2017b). Review of adult electrical burn injury outcomes worldwide: an analysis of low-voltage vs high-voltage electrical injury. J Burn Care Res., 38. https://doi.org/10.1097/BCR.0000000000000373

Srivastava, S., Kumari, H., Singh, A., & Rai, R. K. (2018). Electrical burn injury: a comparison of outcomes of high voltage versus low voltage injury in an Indian scenario. Ann Burns Fire Disasters, 31.

Struck, M. F., Reske, A. W., Schmidt, T., Hilbert, P., Steen, M., & Wrigge, H. (2014). Respiratory functions of burn patients undergoing decompressive laparotomy due to secondary abdominal compartment syndrome. Burns., 40. https://doi.org/10.1016/j.burns.2013.05.007

Suzan, R. & Diyah, E. A. (2017). Tata Laksana Nutrisi Pada Pasien Luka Bakar Listrik. Jmj, 5(1), 1–13.

Tsourouflis, G., Pikoulis, A., & Pararas, N. (2021). Burn Management BT - Emergency Medicine, Trauma and Disaster Management: From Prehospital to Hospital Care and Beyond (E. Pikoulis & J. Doucet (eds.); pp. 329–335). Springer International Publishing. https://doi.org/10.1007/978-3-030-34116-9_25

World Health Organization. (2023). Burns. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/burns

Zheng, Y., Lin, G., Zhan, R., Qian, W., Yan, T., Sun, L., & Luo, G. (2019). Epidemiological analysis of 9,779 burn patients in China: An eight‑year retrospective study at a major burn center in southwest China. Experimental and Therapeutic Medicine, 2847–2854. https://doi.org/10.3892/etm.2019.7240.

Published
2024-05-11
How to Cite
Rahman, L., Yuliandani, E., Masruroh, R., Mirwanti, R., & Priambodo, A. P. (2024). A Case of Electrical Burns Injury with A History of Heart Disease: A Case Report. Indonesian Journal of Global Health Research, 6(4), 1881-1890. https://doi.org/10.37287/ijghr.v6i4.3349

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